Editor's Note Ten years after undergoing mesh-based procedures for stress urinary incontinence (SUI), 1 of every 30 women may require a second procedure for mesh removal or revision, this study finds. Patients of lower-volume surgeons had a 37% increased risk for complications. The findings support the Food and Drug Administration’s…

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Editor's Note A trust-based accountability model that included senior hospital leadership and frontline providers provided an enabling structure to rapidly implement an integrated recovery pathway and quickly improve outcomes, value, and experience of colorectal surgical patients, in this study. The pathway included preoperative education, mechanical bowel preparation with oral antibiotics,…

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Editor's Note The longer time a screening colonoscopy takes, the less risk of developing cancer within 5 years, this study finds. Patients whose screenings were performed by physicians whose average colonoscopy times lasted less than 6 minutes were twice as likely to develop colon cancer within 5 years as those…

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Editor's Note A standardized process of dose, duration, and timing for preoperative showers with 4% chlorhexidine gluconate maximizes the benefit of the shower as an effective risk reduction strategy for surgical site infections, finds this study. The process includes: 118 mL of aqueous 4% chlorhexidine gluconate per shower a minimum…

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Editor's Note Total knee and total hip arthroplasties are associated with a substantially increased risk of myocardial infarction during the first postoperative month, finds this study. The MI risk gradually declined overtime, but the risk for venous thromboembolism remained years after the procedure. The study included 40,000 patients, half of…

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Editor's Note The risk of adverse outcomes in patients having elective daytime surgical procedures was similar whether the surgeon performed surgery the night before or not, this study finds. There were no significant differences in patient mortality, readmission, or complications when surgeons worked after midnight, compared to when surgeons did…

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Editor's Note The Joint Commission reviewed 9,119 sentinel events from 1995 through the second quarter of 2015. They included: 1,162—wrong-patient, wrong-site, wrong-procedure 1,037—unintended retention of a foreign body 1,013—delay in treatment 884—op/postop complication 228—medical-equipment related 182—infection-related event 130—fire 109—anesthesia-related event.  

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Editor's Note The Food and Drug Administration on August 27 categorized a recall of the Alaris Syringe Pump (model number 8110) by CareFusion as Class I, the most serious. An error in the pump triggers a visual and audible alarm that causes the pump to stop supplying the infusion to…

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Editor's Note A proposed law would require ASCs and hospitals to install surveillance cameras in their ORs. Whether they are a good idea or not depends on why they are there, according to an editorial in Outpatient Surgery Magazine. If they are intended to enhance performance and find out why…

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Editor's Note Robotic-assisted cardiac surgery had significantly reduced length of stay, complications, and mortality compared with nonrobotic surgery in this study. Robotic-assisted had a higher median cost than nonrobotic surgery ($39,030 vs $36,340). The results show that robotic-assisted is as safe as nonrobotic cardiac surgery and offers surgeons an additional…

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